DR. CORITA REILLEY GRUDZEN M.D.
NPI 1043418544
Emergency Medicine in New York, NY

Active since July 05, 2007PECOS EnrolledAccepts Medicare Assignment
85.4/100
CMS Quality Rating
550 1ST AVE, NEW YORK, NY 10016(212) 263-3293 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2022, Apr 5, 2021 (2 updates tracked since 2021).

About Dr. Corita Reilley Grudzen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CORITA REILLEY GRUDZEN M.D. (NPI 1043418544) is an individual emergency medicine provider in New York, New York, licensed in New York (233941-1) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2001).

NPPES Registry Identity

NPI1043418544
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. CORITA REILLEY GRUDZENCredential: M.D.
Location Address550 1ST AVENew York, NY 10016-6402
Mailing Address550 1st AveNew York, NY 10016-6402 · (212) 263-3293
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2001
Enumeration DateJuly 5, 2007
Last NPPES UpdateMay 25, 20222 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
NPI 1043418544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in NY · 233941-1 Licensed in CA · A91053
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
550 1ST AVE, New York, NY 10016

Other Identifiers 9

Other3592Q1Empire Bc Bs
Other070913000141Fideliscare Of Ny
Other10127536Cdphp Pin #
Other1591896Aetna Hmo Pin #
Other7243967Aetna Ppo #
Other000000120752Ghi Hmo Pin#
Other6C5394Healthnet Pin #
Other0170035Ghi Ppo Pin #
Other6007526Mvp Healthplan Pin #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Corita Reilley Grudzen M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193811545
PECOS Enrollment IDI20071016000145
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
16 services16 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.71
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
550 1ST AVE
NEW YORK, NY 10016
Emergency Medicine (Pediatric Emergency Medicine)
550 1ST AVE
NEW YORK, NY 10016
Allergy & Immunology
550 1ST AVE, NBV 16N30, INTERNAL MEDICINE RESIDENCY PROGRAM
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
Radiology (Vascular & Interventional Radiology)
550 1ST AVE
NEW YORK, NY 10016
Surgery
550 1ST AVE
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016
Student in an Organized Health Care Education/Training Program
550 1ST AVE
NEW YORK, NY 10016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corita Grudzen's NPI number?

The NPI number for Corita Grudzen is 1043418544. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Where is Corita Grudzen located?

Corita Grudzen practices at 550 1st Ave, New York, NY 10016. The listed phone number is (212) 263-3293.

What is Corita Grudzen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Corita Grudzen enrolled in Medicare?

Yes. Corita Grudzen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Corita Grudzen was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.